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Safety and effectiveness are crucial quality attributes for insulin infusion pump systems. Therefore, regulatory agencies require the quality evaluation and approval of such systems before the market to decrease the risk of harm, motivating the usage of a formal Model-Based Approach (MBA) to improve quality. Nevertheless, using a formal MBA increases costs and development time because it requires expert knowledge and thorough analyses of behaviors. We aim to assist the quality evaluation of such systems in a cost-effective and time-efficient manner, providing re-usable project artifacts by applying our proposed approach (named MBA with CPN—MBA/CPN). We defined a Coloured Petri nets MBA and a case study on a commercial insulin infusion pump system to verify and validate a reference model (as a component of MBA/CPN), describing quality assessment scenarios. We also conducted an empirical evaluation to verify the productivity and reusability of modelers when using the reference model. Such a model is relevant to reason about behaviors and quality evaluation of such concurrent and complex systems. During the empirical evaluation, using the reference model, 66.7% of the 12 interviewed modelers stated no effort, while 8.3% stated low effort, 16.7% medium effort, and 8.3% considerable effort. Based on the modelers’ knowledge, we implemented a web-based application to assist them in re-using our proposed approach, enabling simulation-based training. Although a reduced number of modelers experimented with our approach, such an evaluation provided insights to improve the MBA/CPN. Given the empirical evaluation and the case study results, MBA/CPN showed to be relevant to assess the quality of insulin infusion pump systems.

Summary Model‐based testing (MBT) relies on models of the system's behaviour to generate abstract tests. Testers can reuse formal models using MBT to increase confidence in critical systems (e.g., medical and avionic systems). In this article, we investigate the current abstract test generation approaches for CPN to provide insights for testers who need to select a suitable one when applying the MBT using CPN. We conduct a systematic literature review to investigate the existing abstract test generation approaches designed for CPN. Subsequently, focusing on specific implementations and advantages/disadvantages, we experiment with formal models of medical systems during our empirical analysis to improve the discussion on existing abstract test generation approaches for CPN. Our study shows that CPN provides reliable tests quickly, depending on the abstract test generation approach applied.

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